Individual
JERROLD BENEDICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1541 N SHERIDAN RD, TULSA, OK 74115-4610
(615) 778-4066
(615) 778-9114
Mailing address
720 COOL SPRINGS BLVD, SUITE 300, FRANKLIN, TN 37067-2626
(615) 778-4066
(615) 778-9114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
17441
OK
2083X0100X
Occupational Medicine Physician
17441
OK
208D00000X
General Practice Physician
Primary
17441
OK
208D00000X
General Practice Physician
332149
LA
208D00000X
General Practice Physician
E-15344
AR
208D00000X
General Practice Physician
H4163
TX
Other
Enumeration date
03/28/2007
Last updated
06/25/2026
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